Active NPI
Kevin Hanrahan, OPTICIAN
- Optician
- Hornell, NY
National Provider Identifier
1104099555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 005611-1
- Practice address
- 43 Pine St
Hornell, NY 14843-2252 - Phone
- (607) 324-7345
- NPI assigned
- Apr 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 005611-1 | NY | Primary |
Addresses
Primary practice location
43 Pine St
Hornell, NY 14843-2252
Mailing address
43 Pine St
Hornell, NY 14843-2252
Phone (607) 324-7345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005611-1 | NY | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207526400000",
"number": "1104099555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 PINE ST",
"city": "HORNELL",
"state": "NY",
"postal_code": "148432252",
"telephone_number": "607-324-7345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 PINE ST",
"city": "HORNELL",
"state": "NY",
"postal_code": "148432252",
"telephone_number": "607-324-7345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANRAHAN",
"first_name": "KEVIN",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-07",
"last_updated": "2008-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "005611-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hornell, NY
- Anthony Robert Guarglia, OPHTHALMIC DISPENSER
- Myranda Gumtow, PT
- John Stirling Halpenny, M.D.
- Christina Adele Hancock, RDH
- Jennifer Lee Fox Hand, FNP
- Mavidi K Hariprasad, M.D.
- Adam Harriger, RPH
- Jennifer Hart, PTA
- Healthsource of Hornell Progressive Chiropractic Rehabilitation, P.C.
- George Edward Heinig, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.